Entry Clerk Medical Billing

ALICIA NICOLE DAVIS

**** ******** ******* ***** 941-***-****

Tampa FL, 33613 *****.********@*******.***

PROFESSIONAL PROFILE

Customer service oriented professional backed by 3+ years of combined medical insurance, administrative and healthcare industry experience. Follows policies, procedures and guidelines to ensure consistent quality. Maintains and assures patient privacy and confidentiality.

High Academic Honors Recognition / Honor Roll – 3.90 GPA.

Proved ability to maneuver multiple priorities and meet deadlines without compromising quality.

Manages time and prioritizes duties in fast-paced, multi-task environments. KEY QUALIFICATIONS

Insurance Billing: Strong knowledge of medical administrative procedures, including billing, record-keeping, and processing insurance claims. Able to properly utilize CMS 1500 and CM 1450 (UB-04) forms to report claims. Medical Coding: Proven ability to assign appropriate codes to patient systems, diagnosis, operations, and treatments to process reimbursements. Additional skills include: Monitoring and auditing documents required for data entry. Administrative Skills: Microsoft Office; Greenway PrimeSUITE EHR; general office duties; data entry and retrieval. Analysis/Assessment: Able to synthesize complex or diverse information; collect and research data; research and find relevant information and identify key issues and relationships from a base of information. RELEVANT PROFESSIONAL EXPERIENCE

Zenith American Solutions –

Tampa FL 04/2021 –

Present

Mail Processing Clerk

Sorts incoming mail using manual distribution method while date stamping each piece and placing mail into sorted trays.

Removes mail from sorted trays after supervisor accuracy check.

Scans mail into appropriate folders via computer.

Performs other office related tasks in -support of primary duties including emailing, faxing, filing and etc. K-Force Professional Staffing Agency – Tampa FL 10/2018 – 08/2020 MetLife Insurance Company / Project Claims Adjuster

Collects documentation necessary to prepare a case for a potential death claim validity.

Reviews the policy to determine which charges are eligible for reimbursement for the claim.

Analyzes and reviews insurance claims for accuracy, completeness, and eligibility to pay out the claim.

Accurately completes the daily quota in a timely manner. Kforce Professional Staffing Agency – Tampa FL 08/2018 – 10/2018 SafePoint Insurance Company / Medical Data Entry Clerk

Compiled, verified accuracy and sorted information to prepared source data for computer entry.

Maintained operations by following policies and procedures; reporting needed changes.

Verified data by checking and comparing source documentation. Digestive Disease Associates –Gainesville, FL 03/2016 – 03/2017 Medical Front Desk Clerk

Welcomed patients and visitors by greeting patients and answering phones and referring inquiries.

Verified patient demographics and insurance information.

Protected patients' rights by maintaining confidentiality of personal and financial information.

Worked with computer system programs such as Clinical Module (EHR) and Allscripts PM, and entered ICD-10 codes for billing purposes.

Took and verified all patients’ demographic information day for the service and scanning in insurance cards. Alicia Davis (Cont.)

ADDITIONAL PROFESSIONAL EXPERIENCE

Wal-Staf Personnel & Express Employment Professionals – Gainesville, FL 07/2017 – 07/2018 Cafeteria Aide (05/2018 – 07/2018)

Data Entry Clerk (03/2018 – 05/2018)

Room Attendant (10/2017 – 02/2018)

File Clerk (07/2017 – 10/2017)

Managed high volume of calls, answered questions, and handled several administrative duties.

Assisted cook and kitchen staff with various tasks as needed.

Prepared documents for scanning, indexing and verifying records accurately.

Performed cleaning of assigned guest units while maintaining housekeeping carts and storage rooms. Goodwill Industries – Gainesville, FL

Sales Representative / Customer Service 06/2015 – 03/2016

Played a critical role in driving organizational sales efforts and providing superior customer service.

Increased opportunities for repeat sales through providing outstanding customer service, assisting in locating products and answering all questions succinctly.

Stocked merchandise on sales floor, maintained inventory and expanded knowledge of pricing and all sales and promotions in adaptation to a dynamic sales environment.

Maintained excellent cooperation with numerous personnel to ensure all daily objectives are completed within deadlines without sacrificing results.

Aramark – Gainesville, FL

Food Preparation Representative 01/2014 – 06/2015

Followed organizational values and adhered to internal policies / procedures

Prepared a variety of food using a broad range of equipment to produce a consistently high quality of orders.

Maintained high standards of workplace cleanliness using utensils, chemical products and protective equipment.

Promoted excellent cooperation with numerous departments and personnel to ensure daily objectives are completed within deadlines without sacrificing results.

EDUCATION

Ultimate Medical Academy

Associate of Science Degree – Medical Billing and Coding, 2016 Diploma – Medical Billing and Coding, 2015

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